Individual
HEATHER A SISKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 KENMORE AVE, SUITE 409, ALEXANDRIA, VA 22304-1313
(703) 823-3336
(703) 823-4684
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(763) 268-4115
(763) 268-4430
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2201001257
VA
Other
Enumeration date
05/21/2008
Last updated
01/28/2011
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